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Individual
MRS. HELEN D EZELLL
Active
Individual
MRS. HELEN D EZELLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, BA
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
001768700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001768700
—
FL
Enumeration date
03/29/2011
Last updated
03/29/2011
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